Medical Billing and Coding Coordinator; US Remote

Maximus is seeking two (2) Medical Billing & Coding Coordinators to support our Independent Bill Review (I ) Program. This role is ideal for detail‑oriented professionals who thrive in a fast‑paced, high‑volume environment.

This is a full‑time, fully remote position within the United States.

• Work/Life Balance Support – Flexibility tailored to your needs!
• Comprehensive Insurance Coverage – Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning – Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package – Enjoy PTO, Holidays, and extended sick leave, along with Short‑ and Long‑Term Disability coverage.
• Holistic Wellness Support – Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform – Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement – Invest in your ongoing education and development.
• Employee Perks and Discounts – Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources – Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities – Participate in training programs, workshops, and conferences.
• Licenses and Certifications – Maximus assumes the expenses associated with renewing licenses and certifications for its employees.

• Abstract and code clinical data.
• Audit medical records to ensure compliance with the organization's coding procedures and standards.
• Accurately enter coded data in a system and validate data entered.
• Research correct coding practices, clearly document and share findings with others.
• Review denials and recommend billing corrections.
• Train staff members on the coding process.
• Enter and verify accurate case and CPT/HCPCS/DRG data.
• Process I  correspondences for the mail.
• Review files for completeness and documentation.
• Prepare and validate I  correspondence.
• Identify gaps, request information, and resolve discrepancies.
• Communicate with stakeholders to support case processing.
• Ensure timely, compliant case handling.
• Support system updates, red actions, and other I  tasks.

• High School diploma or equivalent with 0–2 years of experience.
• Additional clinical licensure may be required based on project.
• At least 2 years of data entry experience.
• Ability to perform mathematical calculations.
• Experience working with MS Office applications (Excel, Word, etc.).
• Excellent organizational, interpersonal and verbal communication skills.
• Strong analytical skills, including the ability to research issues.
• Ability to work independently and collaboratively in a remote, fast‑paced environment.
• Willingness to work within a Pacific Time (PST) schedule as needed.

• Experience working in a medical office or healthcare setting.
• Knowledge of claims processing and reimbursement practices.
• Familiarity with CPT, ICD‑9/10, HCPCS, and coding guidelines.
• Understanding of claims adjudication rules and Medicare methodologies.
• Ability to review regulations to determine if exceptions exist that alter industry‑standard payment rules.

• Maximus provides company‑issued computer equipment.
• Reliable high‑speed internet service.
• Minimum 20 Mbps download speeds/50 Mbps for shared internet connectivity.
• Minimum 5 Mbps upload speeds.

Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Minimum Salary: $22.98

Maximum Salary: $30